Healthcare Provider Details

I. General information

NPI: 1295734051
Provider Name (Legal Business Name): CITY OF FT. WRIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 KYLES LN
FORT WRIGHT KY
41011-3743
US

IV. Provider business mailing address

836 4TH AVENUE
HUNTINGTON WV
25701
US

V. Phone/Fax

Practice location:
  • Phone: 859-331-2600
  • Fax: 859-331-0454
Mailing address:
  • Phone: 304-522-7533
  • Fax: 304-522-4222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1477
License Number StateKY

VIII. Authorized Official

Name: STEVE SCHEWE
Title or Position: CHIEF
Credential:
Phone: 859-331-2600